帕斯队列研究中过早死亡的原因和预测因素,伊朗:一个队列研究
Fateme Ziamanesh1, Sadaf G Sepanlou1, Abdullah Gandomkar2
1Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
BMC public health
|September 28, 2024
概括
过早死亡,通常在70岁之前,在很大程度上是可以预防的. 缺血性心脏病和中风是主要原因,强调需要解决社会经济和行为风险因素.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 过早死亡率 (死亡年龄<70岁) 是一个关键的健康指标.
- 过早死亡存在区域差异,IMD,中风和伤害在北非和中东地区占主导地位.
- 很少有全球性研究探讨过早死亡的原因和风险因素.
研究的目的:
- 分析过早死亡的原因.
- 为了确定早期死亡的相关风险因素.
- 在伊朗的帕斯队列研究中调查这些因素.
主要方法:
- 前性队列研究 (帕斯队列研究) 共有9264名参与者 (年龄在40-75岁之间).
- 通过采访,生物样本和物理检查从2012-2021年收集的数据.
- 计算过早死亡的原因,危险比率 (HRs) 和人口归因分数 (PAF).
主要成果:
- 在388例死亡中,54%为过早死亡.
- 主要原因:缺血性心脏病 (IHD) (40%),中风 (11%),道路交通伤害 (6%).
- 关键风险因素:片使用,高血压,年龄,烟草,腰围;保护因素:女性性别,高等教育,婚姻,体育活动,部周围,eGFR,财富.
结论:
- 在这个群体中,心血管疾病和中风是早期死亡的主要驱动因素.
- 解决社会经济和行为因素对于缓解过早死亡至关重要.
- 过早死亡的很大一部分归因于可修改的风险因素 (PAF=0.83).
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